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Organization

KRISTINE TERRY PHD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTINE TERRY PHD (OWNER)
(570) 287-1301
Entity
Organization

Contact information

Practice address
510 W BAY ST, WINTER GARDEN, FL 34787-2627
(570) 287-1301
Mailing address
13750 W COLONIAL DR STE 350, WINTER GARDEN, FL 34787-6148
(570) 287-1301

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
07/08/2024
Last updated
09/30/2025
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